Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ <p>รามาธิบดีพยาบาลสาร เป็นวารสารทางการพยาบาลราย 4 เดือน จัดทำขึ้นโดยโรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี และสมาคมศิษย์เก่าพยาบาลรามาธิบดี มีระบบการบริหารจัดการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีวัตถุประสงค์เพื่อเผยแพร่ผลการศึกษาค้นคว้า โครงการกิจกรรม การวิจัยทางการพยาบาลและสาขาอื่นที่เกี่ยวข้อง</p> Faculty of Medicine Ramathibodi Hospital en-US Ramathibodi Nursing Journal 0858-9739 <p>บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น</p> บทบรรณาธิการ https://he02.tci-thaijo.org/index.php/RNJ/article/view/250924 Supreeda Monkong Copyright (c) 2021-05-06 2021-05-06 27 1 Preventive Care for Diabetic Foot Ulcers: Application of Peplau's Theory of Interpersonal Relations https://he02.tci-thaijo.org/index.php/RNJ/article/view/241080 <p>Abstract:<br>People with diabetes are at high risk of foot ulcers due to atherosclerotic vascular disease and nerve damage from poor blood flow or changes in the shape of feet.Weakness in the foot can cause foot deformities, numbness, cracks, and foot ulcer,leading to foot amputation. Therefore, preventive care for people with diabetes is important to avoid diabetic foot ulcers. This article aims to present knowledge about preventive care for diabetic foot ulcers by applying Peplau's Theory of Interpersonal Relations, a case study and nurses’ roles. Peplau's Theory of Interpersonal Relations is applied to raise awareness of persons with diabetes towards foot care and their potential in preventing long-term complications of diabetic foot ulcers.<br>Keywords: Peplau's Theory of Interpersonal Relations, Diabetic foot ulcer, People with diabetes, Nurse’s roles</p> Wandee Choochuen Suthanan Kunlaka Atiya Sarakshetrin Pacharanan Rattanapark Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-03 2021-05-03 27 1 1 14 Factors Affecting the Quality of Life in Children with Epilepsy https://he02.tci-thaijo.org/index.php/RNJ/article/view/243158 <p>Abstract:<br>Health-related quality of life (HRQOL) is considered as an important clinical outcome, especially in children with chronic illnesses. This predictive, descriptive study aimed at investigating the factors affecting health-related quality of life in children with epilepsy, including epilepsy severity, comorbidity, and family functioning. The sample,which consisted of 90 caregivers of children with epilepsy between the ages of 4 to 15 years, was recruited from the pediatric neurological out-patient clinic and in-patient wards at Prasat Neurological Institute, and Ramathibodi Hospital located in Bangkok,Thailand. Data were collected during June-August 2019. A set of questionnaires was used including demographic characteristics and medical record of illness data of children with epilepsy, the Chulalongkorn Family Inventory (CFI), and the Quality of Life in Childhood Epilepsy (QOLCE-16). Data analysis used descriptive statistics, Pearson’s product-moment correlation coefficient, and multiple regression analysis. The findings revealed that epilepsy severity, comorbidity, and family functioning could jointly predict the overall QOLCE, and accounted for 28.40% of the variance in the overall quality of life of children with epilepsy. Results of this study would help nurses and healthcare professionals provide adequate support and further design the intervention to improve the quality of life among children with epilepsy.<br>Keywords: Predictive factors, Health-related quality of life, Childhood epilepsy</p> Arthittaya Kaenkrai Autchareeya Patoomwan Suporn Wongvatunyu Apasri Lusawat Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-03 2021-05-03 27 1 15 29 Effects of Febrile Convulsion Care Program on Knowledge and Perceived Self-efficacy to Care for Children with Febrile Convulsion among Caregivers https://he02.tci-thaijo.org/index.php/RNJ/article/view/243176 <p>This experimental study with the two-group pretest-posttest research design aimed to examine the effects of the Febrile Convulsion Care Program on knowledge and perceived self-efficacy among primary caregivers of children aged 3 months to 5 years who had a febrile convulsion. The participants consisted of 34 caregivers recruited by purposive sampling from an emergency department and divided into the control and<br>experimental groups equally (17 each). The data were collected from July 2016 to April 2017. The program was developed using Bandura’s Self-Efficacy Theory as a conceptual framework. The instruments used in this study consisted of the Personal Profile Questionnaire, the Knowledge of Febrile Convulsion Questionnaire, and the Perceived Self-efficacy Questionnaire. The data were analyzed using descriptive statistics, Chi-square, and independent t-test. The results demonstrated that the experimental group had a significantly higher mean score of knowledge and perceived self-efficacy than the control group did after two weeks of study. The program developed in this study is useful for nurses to enhance knowledge and perceived self-efficacy among caregivers of children with febrile convulsion receiving care at the emergency department.<br>Keywords: Caregiver, Febrile convulsion, Febrile Convulsion Care Program, Knowledge,<br>Perceived self-efficacy</p> Phongthep Dechthit Autchareeya Patoomwan Srisamorn Phumonsakul Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 30 46 Fatigue and Sleep Disturbance in Hospitalized Adolescents with Cancer Receiving Chemotherapy https://he02.tci-thaijo.org/index.php/RNJ/article/view/243167 <p>This descriptive study aimed to describe fatigue and sleep disturbance in hospitalized adolescents with cancer receiving chemotherapy. The purposive sample included 33 adolescents with cancer admitted to two tertiary hospitals to receive chemotherapy. The instruments were the Fatigue Scale-Adolescent FS-A and Sleep Diaries. Data were analyzed using descriptive statistics. The results of the study revealed that most adolescents reported mild to moderate level of fatigue. The results did not indicate sleep disturbances as obtained from the daily sleep recordings. The average sleep duration was 9.24 hours on the second day of the chemotherapy treatment.The daytime naps were between 31 and 60 minutes per day for all three days, and the time from beginning to sleep (sleep latency) lasted more than 40 minutes. The perceived sleep adequacy were reported as slightly sleepy on the first day and quite drowsy on the third day. The results of this study provide basic information for nurses and other healthcare professionals to beware of fatigue and sleep disturbance in adolescents with cancer receiving chemotherapy and routinely assess these symptoms during children’s hospitalization for planning appropriate interventions.<br>Keywords: Adolescent, Fatigue, Sleep disturbance, Chemotherapy, Hospitalization &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p> Phatcharee Chookanhom Autchareeya Patoomwan Samart Pakakasama Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 47 60 Effects of Motivation Interviewing and Self-Management Support Program on Behaviors for Delaying the Progression of Chronic Kidney Disease and Blood Pressure in Persons with Uncontrolled Hypertension https://he02.tci-thaijo.org/index.php/RNJ/article/view/241431 <p>This quasi–experimental, the one group pretest posttest-design with repeated measures, aimed to examine the effects of a motivation interviewing and self-management support program on behaviors for delaying the progression of chronic kidney disease (CKD)and blood pressure in persons with uncontrolled hypertension. The experiment was divided into 2 periods: the control period (week 1-6) and the intervention period (week 7-12). In the control period, the sample received regular care, and in the intervention period, they received the motivational interviewing and self-management support program. A sample of 32<br>participants were purposively selected from persons with uncontrolled hypertension and CKD stage 1–2. The data were analyzed using one-way repeated measures ANOVA and pairwise comparisons with Bonferroni correction to compare mean scores at the end of 6th week and 12th week. The results revealed that mean score of behaviors for delaying the progression of chronic kidney disease after intervention was significantly higher than that before intervention.The average blood pressure levels after intervention was significantly lower than that before experiment. The results indicated that the motivation interviewing and self-management support program could increase behaviors for delaying the progression of chronic kidney disease and reduce blood pressure among persons with uncontrolled hypertension.<br>Keywords: Motivation interviewing, Self-management support, Behaviors for delaying the progression of chronic kidney disease, Blood pressure, Hypertension</p> Ruthaichanok Sukjong Umaporn Boonyasopun Piyanuch Jittanoon Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 61 76 Relationships among Knowledge, Health Literacy, and Health Behavior in Older Persons with Chronic Kidney Disease https://he02.tci-thaijo.org/index.php/RNJ/article/view/242586 <p>This descriptive study aimed to examine the relationship between knowledge,health literacy, and health behavior in older persons with chronic kidney disease.Nutbeam’s concept of health literacy was used to guide the study. The sample recruited by purposive sampling technique consisted of 98 older persons with chronic kidney disease from stage 4 to 5, who did not undergo the renal replacement therapy and used<br>healthcare services at a chronic kidney disease clinic at a tertiary hospital in Bangkok.The data were collected by the interviews using the questionnaires on demographic data,knowledge about the care of chronic kidney disease, health literacy, and health behavior of older persons with chronic kidney disease. The data were collected from March to May 2019 and analyzed using the descriptive statistics and Spearman’s Rho correlation coefficients. The results showed that the mean scores of the total knowledge, health literacy, and health behavior about chronic kidney disease care were at a high level. The analysis showed a significant positive relationship between health literacy and health behavior, but the knowledge was not statistically correlated with health literacy or health behavior. Thus, health care providers should enhance the health literacy of older persons with chronic kidney disease to select information critically so that they can perform appropriate health behaviors.<br>Keywords: Knowledge, Health literacy, Health behavior, Chronic kidney disease, Older persons</p> Chayabha Vorrapittayaporn Porntip Malathum Noppawan Phinitkhajorndech Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 77 91 Effect of the Foot and Ankle Exercise on Blood Flow Velocity of the Common Femoral Vein in Patients with Hip Fracture https://he02.tci-thaijo.org/index.php/RNJ/article/view/242895 <p>This quasi-experimental study with one group, repeated-measures design aimed to compare 1) the peak systolic velocity (PSV) and the mean diastolic velocity (MDV) of the common femoral vein before and after foot and ankle exercise (FAE) 2) thigh and calf circumference after FAE in patients with hip fractured in each interval time. The study was guided by the physiology of DVT formation. The sample were 24 patients with fractured hips at Ramathibodi Hospital. The Friedman test, Wilcoxon Signed-Rank Test, and One-way repeated measures ANOVA were used as data analysis. The results showed that 100% of the patients were<br>able to perform foot and ankle exercise (FAE). The PSV and MDV in the common femoral vein on the fractured side after FAE dramatically increase more than before FAE and maintain till 5 and 15 minutes after FAE. The circumference of the calf did not increase at the day of discharge.The results suggest that the FAE could increase blood flow velocity of the common femoral vein in patients with hip fracture leading to prevent DVT.<br>Keywords: Deep vein thrombosis, Hip fracture patients, Foot and ankle exercise, Blood flow velocity of the common femoral vein</p> Arphaporn Plueangklang Suchira Chaiviboontham Paphon Sa-ngasoongsong Chinnarat Buangam Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 92 107 Factors Predicting Professional Nurses' Caring Behavior for Older Persons in a University Hospital https://he02.tci-thaijo.org/index.php/RNJ/article/view/242792 <p>This research aimed to examine the predictability of selected factors to explain caring behavior for older persons of professional nurses in a university hospital. The Theory of Reasoned Action was used as a conceptual framework to guide this study.Proportional stratified sampling was used to recruit a sample of 150 professional nurses who cared for older persons at a university hospital. Data were collected from April to June 2019, using 6 self-administered questionnaires to assess personal data, basic knowledge about older persons, attitude toward caring for older persons, perceived caring climate, intention to care, and caring behavior for older persons. Then, Spearman’s rank correlation and multiple regression with the Enter method were used for the data analysis.The findings revealed that the attitude toward caring for older persons, perceived caring climate, and intention to care were significantly, positively related to caring behavior for older persons. Through multiple regression analysis, the perceived caring climate,<br>intention to care, attitude toward caring for older persons, and basic knowledge about older persons jointly accounted for 32% of the variance in caring behavior for older persons of professional nurses. The perceived caring climate was the strongest predictor of caring behavior. It is suggested that perceived caring climate in an organization,attitude toward caring for older persons, and intention to care should be promoted to<br>enhance professional nurses’ caring behavior.<br>Keywords: Intention to care, Caring behavior, Professional nurses, Older persons, Theory of Reasoned Action</p> Aunchuleekorn khamwang Porntip Malathum Soontaree Jianvitayakij Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 108 121 Health Literacy for Chronic Illness Prevention among Adults in Bangkok Metropolitan: A Case Study of Conditions for Building Health Literacy https://he02.tci-thaijo.org/index.php/RNJ/article/view/241949 <p>As a case study, this qualitative research aimed to understand the conditions of promoting health literacy on preventing chronic illnesses in adults. Data were collected using in-depth interviews among 15 adults aged 18-59 years who lived in Bangkok and obtained a high health literacy score assessed by the Thai version of the Chronic Illness Prevention Health Literacy Scale. Data were analyzed using content analysis. The results showed that conditions of promoting health literacy to prevent chronic illnesses in adults consisted of two main points as individual and external conditions. The individual conditions included: 1) learning health information from the effects of chronic illness, 2) increasing self-confidence in health communication. The external conditions had: 1) social support for self-care, 2) contents and methods of presenting health media for building cognitive skills. The findings could be used to promote health literacy in preventing chronic illness in adults.<br>Keywords: Adults, Health literacy, Preventing chronic illness</p> Niramon Lhaosupab Naphatthorn Prueksaanantakal Chulaporn Yaprom Araya Chiangkhong Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 122 135 Nursing Students' Preparations and Satisfactions on Experiential Learning Strategies for the Conduct of Labor before Clinical Practice https://he02.tci-thaijo.org/index.php/RNJ/article/view/242596 <p>This descriptive research study aimed to explore the experiential learning strategies and satisfaction with practicing the conduct of labor among nurse-midwifery students before clinical practice at a labor room. Kolb’s experiential learning Model was used as a conceptual framework. Five experiential learning strategies for students’ preparation used in this study included: 1) instructors’ demonstration of labor and delivery conduct by using a model; 2) a video of the normal labor procedures; 3) procedural checklists of normal labor procedural steps; 4) student practicing in pairs of labor and delivery conduct on a model, and 5) a handbook on normal labor procedures. The sample consisted of 113 fourth-year nursing midwifery students. The sample received all five experiential learning strategies two weeks before their clinical practice at the labor room. Data collection was conducted through a questionnaire by asking the students about their opinions and satisfaction with the experiential learning strategies. The semi-structured interviews with 30 nursing midwifery students were used to explore why they used such experiential strategies and elicit recommendations. Descriptive statistics were used to analyze the quantitative data. The results showed that most of the sample reported being prepared and satisfied with practicing in pairs with another student, followed by using the procedural checklists, observing the instructor’s demonstration, reviewing the video, and using the self-study handbook on labor procedures, respectively. Additionally, for the semi-structured<br>interviews, the students suggested that there should be fewer students and more models per each instructor's section. The streaming video should be divided into shorter sections to make it easier to access. The handbook on normal labor procedures should include more illustrations to make it easier to follow. The results from this research will be useful for instructors who teach the conduct of labor and delivery. The instructors can adjust experiential learning strategies to meet the student’s learning needs.<br>Keywords: Preparation, Satisfaction, Nursing students, Experiential learning</p> Sailom Gerdprasert Pairin Sukontrakoon Pranee Pongrua Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 2021-05-05 2021-05-05 27 1 136 149